Use of health services by elderly people post-stroke: a randomized controlled trial
AUTOR(ES)
Bierhals, Carla Cristiane Becker Kottwitz
FONTE
Rev. Gaúcha Enferm.
DATA DE PUBLICAÇÃO
02/12/2019
RESUMO
Resumo Objetivo: Verificar a relação de intervenção educativa domiciliar de enfermagem na utilização dos serviços de saúde por idosos após Acidente Vascular Cerebral (AVC). Métodos: Ensaio clínico randomizado com 44 cuidadores familiares de idosos após AVC. Os dados foram coletados entre maio/2016 e julho/2018 em hospital no Sul do Brasil e domicílio dos participantes. O grupo intervenção (GI=21) recebeu visitas domiciliares por enfermeiros após a alta hospitalar. O grupo controle (GC=23) manteve acompanhamento convencional na rede de serviços. Realizaram-se Teste Qui-quadrado de Pearson ou Exato de Fisher para avaliação do desfecho em 60 dias e 1 ano após a alta. Registro no Clinical Trials NCT02807012. Resultados: Houve diferença significativa quanto à utilização do serviço ambulatorial hospitalar (GI=100%, GC=78,3%, p<0,050) em 60 dias após a alta. Conclusão: A maior utilização do serviço ambulatorial pelo GI demonstra efetividade das intervenções de enfermagem direcionadas à rede de atenção à saúde após a alta.Abstract Aim: To verify the relation of a nursing home care educational intervention in the use of health services by elderly people post-stroke. Methods: A randomized controlled trial conducted with 44 family caregivers of elderly people post-stroke. Data was collected between May/2016 and July/2018 in a hospital in the South of Brazil and at the participants’ homes. The intervention group (IG=21) received home visits by nurses after hospital discharge. The control group (CG=23) had a conventional follow-up in a conventional health services. The Pearson’s Chi-Square Test or the Fisher’s Exact Test was performed for assessment of the outcome at 60 days and 1 year after discharge. Clinical Trial registration NCT02807012. Results: There was a significant difference regarding the use of hospital outpatient service (IG=100%, CG=78.3%, p<0.050) 60 days after discharge. Conclusion: The great use of outpatient service by the IG demonstrates the effectiveness of nursing educational intervention focused on health care network after discharge.
Documentos Relacionados
- Educating physicians to reduce benzodiazepine use by elderly patients: a randomized controlled trial
- Interdisciplinary inpatient care for elderly people with hip fracture: a randomized controlled trial
- Use of outpatient mental health services in HMO and fee-for-service plans: results from a randomized controlled trial.
- Improving the health behaviours of elderly people: randomised controlled trial of a general practice education programme
- Clinical difficulties in post-stroke mania